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Breakthrough change for adult cardiac surgery in a community-based cardiovascular program.
- Source :
-
Quality management in health care [Qual Manag Health Care] 1998 Sep; Vol. 6 (4), pp. 29-36. - Publication Year :
- 1998
-
Abstract
- This article describes the use of rapid cycle improvement in a community hospital adult cardiac surgery program. The hospital participated in the Breakthrough Series: collaborative adult cardiac surgery sponsored by the Institute of Healthcare Improvement (IHI). As a result of this 1-year project, median length of stay for diagnosis-related groups 104 throug 108 was decreased 30 percent from 8.62 days to 6.0 days; percentage of patients extubated within 6 hours postoperatively rose from 5 percent to 75 percent; median cost per case declined $19 percent; and pain and anxiety, service, and satisfaction scores all improved. There was no adverse impact on the clinical indicators 30-day readmission rate, reintubation, return to operating room, and mortality.
- Subjects :
- Adult
Clinical Protocols
Cost Savings
Hospitals, Community standards
Humans
Length of Stay
Minnesota
Operating Rooms economics
Pain, Postoperative therapy
Patient Care Team
Patient Satisfaction
Cardiac Surgical Procedures standards
Surgery Department, Hospital standards
Total Quality Management methods
Subjects
Details
- Language :
- English
- ISSN :
- 1063-8628
- Volume :
- 6
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Quality management in health care
- Publication Type :
- Academic Journal
- Accession number :
- 10339042
- Full Text :
- https://doi.org/10.1097/00019514-199806040-00003